Provider Demographics
NPI:1093935991
Name:DOFFING, HOLLY DIANE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:DIANE
Last Name:DOFFING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4724 SWEETWATER BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-491-9177
Mailing Address - Fax:281-491-5576
Practice Address - Street 1:4724 SWEETWATER BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-491-9177
Practice Address - Fax:281-491-5576
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20984122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist